Healthcare Provider Details

I. General information

NPI: 1235100058
Provider Name (Legal Business Name): CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 09/14/2024
Certification Date: 09/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 GREENE ST
WEBSTER TX
77598-6701
US

IV. Provider business mailing address

409 WEST GREENE ST
WEBSTER TX
77598-6701
US

V. Phone/Fax

Practice location:
  • Phone: 281-332-4738
  • Fax: 281-332-5449
Mailing address:
  • Phone: 281-332-4738
  • Fax: 281-332-5449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number112588
License Number StateTX

VIII. Authorized Official

Name: MS. ELIZABETH ANN NEWTON
Title or Position: CEO
Credential:
Phone: 409-267-3143